Individual provider Active NPI

Katherine Kar-Hwee Quan, M.D.

  • MOHS-Micrographic Surgery Physician
  • Chandler, AZ
National Provider Identifier
1629051917
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
25345 Issued in AZ
Practice address
1100 S Dobson Rd Ste 223
Chandler, AZ 85286-6160
Phone
(480) 821-8888
Fax
(480) 821-0888
NPI assigned
Nov 21, 2005
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25345 AZ
MOHS-Micrographic Surgery Physician 207ND0101X 25345 AZ Primary

Addresses

Primary practice location

1100 S Dobson Rd Ste 223
Chandler, AZ 85286-6160

Mailing address

1100 S Dobson Rd Ste 223
Chandler, AZ 85286-6160
Phone (480) 821-8888

Other identifiers 4

IdentifierTypeStateIssuer
41-2054293OtherAZTAX-ID
385551MedicaidAZ
86080015085259A375OtherAZTRIWEST
070011301OtherAZRAILROAD MEDICARE

Other names 1

  • Dr. Katherine Kar-Hwee Lim Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091023000371 AZ Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 8921145921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Northwestern University Feinberg Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Valley Dermatology CenterGroup PAC ID 8022093384, 15 clinicians

Practice addresses (Care Compare)

1100 S Dobson Rd
Suite 223
Chandler, AZ 85286-6160
Phone (480) 821-8888

Merit-based Incentive Payment System (MIPS)

Final score
87.48 of 100Reported as group
Quality
88.21
Improvement activities
40
Cost
73.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision36
Removal of skin lesions17
Removal of skin cancer377
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25345AZMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Valley Dermatology Center Dermatology CurrentSince Nov 1, 2009 Accepting new patients
East Valley Dermatology RX, LLC Dermatology PastSince Nov 1, 2009 Accepting new patients

Locations

1100 S Dobson Rd
Ste 223
Chandler, AZ 85286
Phone (480) 821-8888

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDDGBA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1629051917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S DOBSON RD STE 223",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866160",
            "telephone_number": "480-821-8888",
            "fax_number": "480-821-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S DOBSON RD STE 223",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866160",
            "telephone_number": "480-821-8888",
            "fax_number": "480-821-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAN",
        "first_name": "KATHERINE",
        "middle_name": "KAR-HWEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "25345",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "25345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX-ID",
            "identifier": "41-2054293",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385551",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "86080015085259A375",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070011301",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "LIM",
            "middle_name": "KAR-HWEE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.